NUR 254 (NUR254)

Pregnancy Terminology and Notation The goal of maternity care is a safe and healthy baby and mother Gestation: age of pregnancy Trimester: segment of pregnancy (13 weeks) Antepartum: total time of pregnancy Intrapartum: labor and birth Postpartum: return to pre−pregnancy state (6 weeks post delivery) Gravida: pregnant woman Nulligravida: woman who never experienced a pregnancy Multigravida: woman who has had multiple pregnancies Gravidity: number of pregnancies regardless of outcome ...

OB Peds#3 The nurse has administered a prescribed analgesic to a preschool child. Which action should the nurse take to assess the effectiveness of this medication? Use the Wong-Baker pain scale pg 796 The nurse is working in an emergency triage area where a parent brings in a child & states, “I think she got into my mother’s medicine.” After determining the medication the child ingested, which action should the nurse perform next? Contact poison control pg 895 *say what to do nex...

1. The nurse administered a prescribed analgesic to a preschool child. Which action should the nurse take to assess the effectiveness of this medication? Use the Wong-Baker pain scale 2. The nurse is caring for a child in middle school who is hospitalized. When developing a plan of care, the nurse should consider that children in this age group Are anxious about missing interactions with friends 3. The nurse is caring for a group of toddlers and is developing a plan for age-appropriate ...

1. Erikson stage of development - 2 questions Basic trust vs Mistrust (Infant 0-1 year) Autonomy vs shame and doubt (Toddler 1-3 year) Initiative vs Guilt (Preschool 3-6 years) Industry vs Inferiority (School age 6-12 years) Identity vs Role confusion (Adolescent 12-18 years) - School age child (6-12 yrs) o **Erikson: Industry vs Inferiority ▪ Engaging in tasks they can see to completion ▪ Learn to compete and cooperate and learn rules ▪ Feel inferior if they feel they can’t me...

Hematology and Oncology • Assessment, analysis, planning, implementation, and evaluation - CBC, H&P, energy level of child, food diary, iron sources, frequent infections, bleeding, skin assessment: pallor, petechiae, and/or bruising • Blood smear – blood cells should be normal in size, shape, color, number – if any irregularities can indicate blood disorder • Blood Transfusion Reminders: o Blood within 30 mins of arrival o Infuse over 4 hours maximum Hematology • Anemia –...

● Normal postpartum Vitals ○ HR: slightly altered, should return to non pregnant values within a few days ○ BP: slightly altered ○ RR: should return to normal within 6-8 weeks Postpartum ○ Temp: 100.4 for the 1st 24 hours, should return to normal after if not this can indicate INFECTION ○ Rapid changes in pulse can indicate hypovolemia ○ Shivering initially after is not concerning ● Lochia Characteristics ○ Rubra: bright red discharge 1-3 days after birth ○ Serosa: ...

• Nursing management o Communication ▪ Appropriate responses following death of a child (therapeutic communication) • Stay with the family • Accept the family’s grief reactions and avoid judgmental statements • Avoid “rationalizing” (She isn’t suffering anymore) • Avoid artificial consolation (“I know how you feel”) • Do everything possible to ensure comfort • Express personal feelings of loss or frustration (you can cry!) • Allow family to stay with child ...

1.) The nurse is caring for a client who gave birth 18 hours ago. The client reports that her nipples are getting tender and the baby is not breastfeeding well. Which of the following responses is appropriate by the nurse? A. "Apply a small amount of topical breast cream to help with the discomfort" B. "Make sure to compress the breast so the baby can get an adequate mount of breast tissue into the mouth." C. Wait until the baby is crying to show hunger, then breastfeed to h...

*****The nurse is preparing to teach a client about the cardiovascular changes that occur during pregnancy. Which of the following decreases or remains unchanged? Blood Pressure ****The nurse has provided dietary teaching for a pregnant client who has iron deficiency anemia. Which of the following meal options selected by the client indicates that teaching has been effective? Grilled steak, creamed spinach and an apple ****The nurse is caring for a client who is pregnant. The first day o...

The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select? a. Roast beef, gelatin salad, green beans, and peach pie b. Chicken salad sandwich, coleslaw, French fries, ice cream c. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie d. Pork chop, creamed potatoes, corn, and coconut cake - C Egg yolks, wheat bread, carrots, raisins, and green, leafy vegetables are all high in iron, which is an ...